Wanstead Mobility Hub - Page 1 of 3 - London Borough of Redbridge

Introduction

1. What is your name?

Name

2. What is your email address?

If you enter your email address then you will automatically receive an acknowledgement email when you submit your response.

3. What is your postal address?

Please choose one of the options below

4. Do you support the Wanstead Mobility Hub proposals?

Yes No

5. Do you have any comments about the proposal?

Please provide a brief summary here.

6. What is your gender?

What is your gender?

If other, please specify

7. What is your age?

8. What is your religion or belief?

What is your religion or belief?

If other, please specify

9. What is your sexual orientation?

If other, please specify

10. What is your ethnicity?

If other, please specify

11. Do you have a long term physical or mental impairment, which greatly impacts your ability to carry out normal day-to-day activities and you are likely to be considered disabled under the Equality Act 2010?

Yes No